I don't know how your Grandma is doing but I hope she's still hanging in there... my husband has cirrhosis and was hospitalized for encephalopathy at the beginning of the year, but he is doing much better now. His MELD score was 17 and just 3 months later it was a 9, thanks to alternative treatments (which were NOT suggested by doctors... we had to do our own research... thank God for the internet!). I just wanted to tell you, I learned a few things that can help. Probiotics definitely help, and can cut the risk for encephalopathy in half. If you would like to read more about this, I made a blog at healing-liver-cirrhosis.blogspot (dot com... can't post an actual link here). To see the probiotics article, you can google "Probiotics Cut Risk for Hepatic Encephalopathy in Half." The probiotics my husband takes are on sale at Costco right now. The brand is Nature's bounty, and it's $6 off. I also did a blog post on Hepatic Encephalopathy: How to avoid it (I wanted people to learn from the mistakes we made). I believe there is hope for your Grandma! Thank you for trying to help her.